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狂犬病臨床研究会から発信するProMEDの訳文です

狂犬病(26)アメリカ(USA) キツネ,アライグマ,イヌ,ヒト暴露

ProMEDに投稿された世界の狂犬病情報を和訳してご紹介します。和訳は正確を期していますが、必ず原文をご参照下さい。

RABIES (26): AMERICAS (USA) FOX, RACCOON, DOG, HUMAN EXPOSURE

In this update:
[1] New York - raccoon, human exposure
[2] Arizona - fox, dog, human exposure

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[1] New York - raccoon, human exposure

ニューヨーク,アライグマ,ヒト暴露
Date: 23 Apr 2019
Source: WKBW [edited]
<https://www.wkbw.com/news/local-news/boy-bitten-by-rabid-raccoon-in-chautauqua-county>


A boy in Chautauqua County was bitten by a rabid raccoon while turkey
hunting, according to the Environmental Health Unit of the Chautauqua
County Department of Health and Humans Services.

シャタークワ郡保健福祉局環境健康部門によれば,(アメリカ合衆国ニューヨーク州)シャタークワ郡在住の少年が,七面鳥撃ちの最中に狂犬病を発症したアライグマに咬まれた.

Officials say this is the 1st known rabid animal in the county this year [2019].

当局によれば,同郡に於ける本年(2019年)最初に認知された動物の狂犬病である.

According to the Department of Health and Humans Services, the boy was turkey hunting with his father near Open Meadows Road in the Town of North Harmony over the weekend when the raccoon latched onto his jacket, biting him.

保健福祉局によれば,その少年は,週末に父親とともにノース・ハーモニーのOpen Meadows Roadのそばで七面鳥撃ちをしていた.そのとき,アライグマが彼のジャケットにしがみつき,噛み付いた.

"This incident should serve as a reminder to residents, particularly outdoor enthusiasts (hikers, hunters, etc.), animal rabies is a serious public health concern and continues to be present in Chautauqua County," said Mark Stow, County Director of Environmental Health Services. "Raccoons are, by far, the animal most likely to be rabid in the state."

郡環境健康部門長のMark Stowは,「この事件は,市民,特にアウトドア愛好家(ハイカー,ハンターなど)に対し,狂犬病動物は深刻な公衆衛生上の問題であり,そしてシャタークワ郡に存在し続けていることを忘れないために,情報提供されるべきである.」と述べた.「アライグマは,この州では,最も狂犬病にかかりやすい動物である.」

The Department of Health and Humans Services is reminding the public that about one in 10 animals infected by the rabies virus will become aggressive and attack with no incitement, while other rabid animals may appear tame.

保健福祉局は,狂犬病ウイルスにかかった動物達の10頭中1頭が攻撃的となり,動機なく襲ってくる一方,他の動物達はおとなしく見えることを改めて強調した.

There are free rabies vaccination clinics available to the public in Chautauqua County throughout the year. [This must be a rabies clinic for the purpose of vaccinating your pet. A vaccinated pet is one of the best ways to protect your pet and yourself. - Mod.TG]
シャタークワ郡では,年間を通じ,一般の方を対象とし,無料で狂犬病予防接種を実施する病院が利用できる.【これは,あなたのペットに狂犬病予防接種を行う事が目的の病院である.ペットへの予防接種は,あなたとあなたのペットを守る為の,最良の方法の一つである.Mod.TG】


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[2] Arizona - fox, dog, human exposure

アリゾナ キツネ,イヌ,ヒト暴露
Date: 25 Apr 2019
Source: KVOA [edited]
<https://kvoa.com/news/local-news/2019/04/25/cochise-county-man-exposed-to-fox-with-rabies/>


A man is being treated after being exposed to a fox with rabies.

狂犬病を発症したキツネに暴露した男性が,暴露後予防接種を受けている.

The Cochise County Sheriff's Department said a man found a fox on his property in the Mule Mountains, west of Bisbee, on 15 Apr 2019. The man's dog was attacked by the fox, and when he was checking on the dog's injuries, he came into contact with the fox. The fox was located, and it tested positive for rabies.

コチセ郡保安官事務所は,その男性は,2019年4月15日にビスビーの西部,ミュール山脈に所有する彼の土地で,キツネを見つけたと述べた.その男性の飼い犬はそのキツネの攻撃を受け,男性がその傷を診ている最中にその男性自身もそのキツネと接触した.キツネは発見され,狂犬病陽性であることが分かった.

The man is now working with animal control to process his dog and begin the rabies treatment. [This is a confusing sentence. Post exposure prophylaxis is available to the man but not to the dog. However, if the dog is vaccinated, it may be treated for the wounds and revaccinated, depending upon the precise rules of the state. -Mod.TG]

その男性は,現在飼い犬を処理して,狂犬病の治療を開始するための(動物の)管理を行っている.【これは,混乱した文章である.暴露後予防は,犬ではなくヒトに対して行う物である.しかし,もしイヌが予防接種を受けていたのであれば,州の規則により,傷の治療が行われ,暴露後のワクチンの追加接種が再度行われたのだろう.Mod.TG】

[Byline: Kylie Warren]

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以下、狂犬病の一般的な復習と説明ですので、省略します。ご不明な点については以下までお伝えください。

info@rabies.jp


Communicated by:
ProMED-mail
<promed@promedmail.org>

[While there are procedures for human beings having been bitten by a
rabid animal, or a suspected rabid animal who cannot be tested, these
same protocols are slightly different for exposed animals.

Human beings need to have the wound cleaned and dressed. This
individual will likely receive post exposure prophylaxis.

For people who have never been vaccinated against rabies previously,
post-exposure anti-rabies vaccination should always include
administration of both passive antibody and vaccine. The combination
of human rabies immune globulin (HRIG) and vaccine is recommended for
both bite and non-bite exposures, regardless of the interval between
exposure and initiation of treatment.

People who have been previously vaccinated or are receiving
pre-exposure vaccination for rabies should receive only vaccine.

Adverse reactions to rabies vaccine and immune globulin are not
common. Newer vaccines in use today cause fewer adverse reactions than
previously available vaccines. Mild, local reactions to the rabies
vaccine, such as pain, redness, swelling, or itching at the injection
site, have been reported. Rarely, symptoms such as headache, nausea,
abdominal pain, muscle aches, and dizziness have been reported. Local
pain and low-grade fever may follow injection of rabies immune
globulin.

The vaccine should be given at recommended intervals for best results.
Talk with your doctor or state or local public health officials if you
will not be able to have shot at the recommended interval. Rabies
prevention is a serious matter, and changes should not be made in the
schedule of doses.

People cannot transmit rabies to other people unless they themselves
are sick with rabies. The prophylaxis you are receiving will protect
you from developing rabies, and therefore you cannot expose other
people to rabies. You should continue to participate in your normal
activities.

Rabies post-exposure prophylaxis consists of a dose of human rabies
immune globulin and rabies vaccine given on the day of the exposure,
and then a dose of vaccine given again on days 3, 7, and 14.

If a person has previously received post-exposure vaccinations or
received pre-exposure vaccinations, only 2 doses of vaccine (on the
day of exposure and then 3 days later) are needed. Human rabies immune
globulin is not required. Your doctor and local health department will
be able to guide you through the process;
<https://www.cdc.gov/rabies/medical_care/index.html>.

However, animals who have been vaccinated will need their wounds
cleaned and cared for. They will be re-vaccinated and, depending upon
the specific state, are likely to be quarantined for a period of
time.

If the bitten animal has not been vaccinated, the animal is likely to
be euthanized, as it presents a risk of rabies to its owners.

The lesson is to keep your animals vaccinated. Check with your
veterinarian regarding your state and county law on frequency of
vaccination for your pets. Pets includes dogs, cats, horses, cattle,
and other animals you have contact with. - Mod.TG

HealthMap/ProMED map available at:
United States: <http://healthmap.org/promed/p/106>]

[See Also:
Rabies (15): Americas, Brazil (RS) bat, cattle
http://promedmail.org/post/20190409.6413470
Rabies (13): Americas, USA (CO, PA) dog, cow, human exposure
http://promedmail.org/post/20190327.6390272
Rabies (12): Americas, USA (SC, CT) raccoon, dog, human exp
http://promedmail.org/post/20190322.6380311
Rabies (11): Americas, USA (FL) raccoon, alert
http://promedmail.org/post/20190320.6375303
Rabies (10): Americas, USA (SC) goat, human exposure
http://promedmail.org/post/20190313.6365399
Rabies (09): Americas, USA (NY) raccoon, alert
http://promedmail.org/post/20190313.6363251
2018
----
Rabies (48): Americas (USA) raccoon, human exp., susp.
http://promedmail.org/post/20180921.6044436
Rabies (37): Americas (USA) raccoon, feline, human exposure
http://promedmail.org/post/20180707.5893249
Rabies (36): Americas (USA) bat, alert
http://promedmail.org/post/20180704.5888152
Rabies (35): Americas (USA)
http://promedmail.org/post/20180701.5884464
Rabies (33): Americas (USA) bat, comment
http://promedmail.org/post/20180615.5858003
Rabies (30): Americas (USA) bat, comment
http://promedmail.org/post/20180608.5846452
Rabies (29): Americas (USA) bat, human exposure
http://promedmail.org/post/20180606.5843054
Rabies (17): Americas (USA) bat, human exp.
http://promedmail.org/post/20180328.5714194
Rabies (10): Americas (USA) fox, susp., human exposure
http://promedmail.org/post/20180215.5630732
Rabies (06): Americas (USA) human, bat, canine exposure
http://promedmail.org/post/20180116.5562905
Rabies (05): Americas (USA) fox, susp., human exposure
http://promedmail.org/post/20180112.5556138
Rabies (04): Americas (USA, Brazil) bat, human, Milwaukee protocol
http://promedmail.org/post/20180111.5553455
2017
----
Rabies (42): Americas (USA) bat, human exp.
http://promedmail.org/post/20171002.5355205
Rabies (38): Americas (USA)
http://promedmail.org/post/20170731.5216276
Rabies (36): Americas (USA) wildlife, multiple human exposures
http://promedmail.org/post/20170725.5203948
Rabies (34): Americas (USA) bat, human exp.
http://promedmail.org/post/20170719.5188826
Rabies (33): Americas (USA) bobcat, canine & human exposures
http://promedmail.org/post/20170718.5186364
Rabies (28): Americas (USA) bat, human exp.
http://promedmail.org/post/20170707.5157811
Rabies (27): Americas (USA) feline
http://promedmail.org/post/20170702.5145002
Rabies (23): Americas (USA)
http://promedmail.org/post/20170530.50704232016
2010
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Rabies, raccoon - USA (04): (NYC) vaccination
http://promedmail.org/post/20100217.0555
Rabies, raccoon - USA (NY) http://promedmail.org/post/20100122.0246
2009
----
Rabies, raccoon - USA: New York City alert
http://promedmail.org/post/20091207.4172
and other items in the archives]